Individual
PAMELA ANN REAGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
4397 HWY 53, HOSCHTON, GA 30548
(770) 314-9365
(706) 658-2836
Mailing address
4397 HWY 53, HOSCHTON, GA 30548
(770) 314-9365
(706) 658-2836
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
GA LIC MT000431
GA
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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